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Suicidal ideation predicted by changes experienced from pre treatment to 3-month postdischarge from residential substance use disorder treatment

Journal of Substance Abuse Treatment Jun 20, 2021

Haynes CJ, Deane FP, Kelly PJ, et al. - Risk for suicide has been reported to be higher among individuals with substance use disorders (SUD). Researchers herein investigated predictive value of traditional indicators of recovery, as well as positive psychology constructs, for suicidal ideation following residential SUD treatment. In this longitudinal study, they used baseline and 3-month postdischarge follow-up assessments of 791 individuals who attended residential SUD treatment in Australia. Decrease in rates of suicidal ideation occurred from baseline to follow-up, and there was association of magnitude of change in most indices with suicidal ideation at follow-up assessment. In a hierarchical logistic regression, following factors emerged as significant predictors of follow-up suicidal ideation: baseline suicidal ideation, a reduction in psychological distress, increase in refusal self-efficacy, and increase in self-forgiveness. Overall findings indicate the possible correlation of changes in traditional recovery indices with reductions in suicidality. As a whole, no additive value of changes in positive psychology indices was identified to the ability to predict suicidal ideation once traditional indices had been considered, but this does not preclude the relevance of these indices to SUD treatment and suicide prevention efforts.

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